Essential Lifestyle Planning (ELP)

[Pages:133]Delaware Health and Social Services

Division of Developmental Disabilities Services

Essential Lifestyle Planning (ELP) User's Manual

Fourth Edition

(April 2014)

Delaware

Division of Developmental Disabilities Services

Essential Lifestyle Planning

Users Manual

April 2014 ? Fourth Edition

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INDEX

SECTION 1......... Introduction Looking at Essential Lifestyle Planning ELP General Ground Rules

SECTION 2........ Getting Started Gathering Information Helpful Hints Beginning the Conversation Developing a First Plan Required Headings for Delaware Updating, Editing, Rewriting

SECTION 3........ The Cover Page SECTION 4........ What People Like and Admire About SECTION 5........ What the Person Must / Must Not Have in Their Life OR

People and Things Most Important to the Person What the Person Likes / Dislikes SECTION 6 ....... Hopes and Dreams SECTION 7........ In Order to Support ... The Communication Section The Personal Care Section SECTION 8........ Things to Try or Learn Identifying a Person's Learning Style How to Write a Supplemental Plan Supplemental Plans (forms) SECTION 9........ The Action Plan The Bridge to Reporting The Annual Conference SECTION 10........ Your Role in the ELP Process The Behavior Analyst/Psychological Assistant Role The Case Manager's Role The Nursing Role The Quality Assurance Role SECTION 11...... Community COR Index ELP Reviewer's Checklist ELP Personal Profile Computer Tips for Composing ELP Essential Lifestyle Plan (format example) SECTION 12 ...... Division of Developmental Disabilities Policy on

Essential Lifestyle Planning

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SECTION 1

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INTRODUCTION

This Users Manual is for people who are involved in developing ELP's. The Essential Lifestyle Planning Process is a process that is constantly changing to meet the needs of the person. The same is true for this Users Manual ? Third Edition. As this is an ongoing process, everyone's input is important as to how we can improve, so the manual and ELP plans can be the best they can be.

The Essential Lifestyle Planning Process was originally developed by Michael Smull and Susan Burke-Harrison. Also, much of the material included in this manual was developed by; Michael Smull, Bill Allen, Susan Burke-Harrison and Helen Sanderson. Finally, the information on learning was largely developed by Dana Henning. The materials are used with permission of the Authors.

However, Delaware's ELP Process has truly been adapted by Delaware for Delaware. We encourage your input so that you, too, can be part of this process and make it work for all of us.

Remember: A Plan is Not an Outcome Helping People Get the Lives They Want is the Outcome

LOOKING AT ESSENTIAL LIFESTYLE PLANS

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Essential Lifestyle Planning is a way of listening to people, recording what was heard, and developing a support plan that is as unique as each individual and addresses how the person wants to live. In an Essential Lifestyle Plan, efforts are made to learn what is important to the person in everyday life and to determine what we can do to help the person have more of what is important to them. The plan can be seen as a series of questions and answers. Please note that the answer to the central question "What is important to the person with whom we are planning?" is not found by asking the question directly but by spending time with the person and talking to those people who know and care about the person.

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ELP GENERAL LANGUAGE GUIDELINES

Words/phrases that shouldn't be in an ELP Suggested Alternatives

Let

John will do it himself

Allow

John will tell you when he wants to

Permit

John goes to _____ twice a week

Feed

Help eating

Toileting

Help in the bathroom

Model/Modeling

Show, tell (what's the best way)

Ambulate

Walk, uses a cane to get around, etc.

Client

Person receiving services, name, etc.

Verbal

Talk, speak, tell

Verbal praise

Compliment (what works best)

Redirect

Change the subject (what works best)

Monitor

Keep an eye on (how, why)

Wheelchair bound / Wheelchair person Person who uses a wheelchair

High/low functioning

Has the ability

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ELP General Ground Rules

1. Be Respectful

It's possible to have fun and to have a respectful process. Remember that people need honest feedback, not harsh criticism or condescending remarks. Gentle frankness is helpful.

2. No Obsessing

In a preliminary plan it is much more important that everything gets said than it is to have it said perfectly. Encourage brief discussion about unresolved issues then suggest the issue be revisited after there is time to think about it. Try using the "5 minute rule". No more than 5 minutes spent on any decision about how to say something or where it should go.

3. No jargon, no disempowering language

Help each other remember to use every day language. Help people to rephrase things using empowering language (for example, we don't "allow" someone to go for a walk, we "support" them by learning what to do and what to expect when they want to go for a walk). Try to use words like help, assist or support rather than supervise, allow or monitor. Remember not to use "jargon" words that only people working in our system would understand. Anyone should be able to read and understand an ELP.

4. No fixing

People are not broken and we are not trying to "fix" them. The focus of ELP is to help people to live the lives THEY want to live. We can't do that all at once, so listen to the person and try to resolve the most critical issues first with respect to how the person wants to live.

5. Don't discuss sensitive or private issues in a large group

Only people identified by the focus person or staff actively involved with a particular sensitive issue need to discuss it. This is a way of attempting to make the person as comfortable as possible when sensitive issues are addressed. Make sure sensitive issues are dealt with on a "need to know" basis in order to maintain the focus person's dignity and privacy.

6. Not complete until it is signed off by the individual

7. Not to be created at the day of the annual meeting; the annual meeting is a time to review.

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